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1376652453
ANNAMMA T. MAMMEN
AUGUSTA, GA
NPI
1376652453
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 036652)
Enumeration Date
2006-08-30
Last Update Date
2011-03-30
Business Address
-- ANNAMMA T. MAMMEN MD
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-4588
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Mailing Address
-- ANNAMMA T. MAMMEN MD
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-6410
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